NPIMap

Organization Active NPI

Masterpiecewithin

  • Health Maintenance Organization
  • Marietta, GA
National Provider Identifier
1235569344
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
CL1230175 Issued in FL
Legal business name
MASTERPIECEWITHIN
Practice address
2164 Hidden Glen Dr SE
Marietta, GA 30067-8740
Phone
(678) 913-9169
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Loretta Johnson McCleeNPI 1841621935
Title
Owner
Phone
(678) 913-9169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CL1230175 FL Primary

Addresses

Primary practice location

2164 Hidden Glen Dr SE
Marietta, GA 30067-8740

Mailing address

2164 Hidden Glen Dr SE
Marietta, GA 30067-8740
Phone (678) 913-9169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1235569344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 HIDDEN GLEN DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678740",
            "telephone_number": "678-913-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HIDDEN GLEN DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678740",
            "telephone_number": "678-913-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPIECEWITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "MCCLEE",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-913-9169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CL1230175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.